Introduction: Evisceration is a surgical procedure to remove the entire ocular contents, preserving only the sclera. Afterward, it is necessary to place a prosthesis to ensure cosmetic rehabilitation in the operated patients.
Aim: The present study aims to investigate the indications for evisceration, categorized by etiological groups, and to determine the surgical approaches used when performing the procedure at the Clinic of Ophthalmology in Pleven for a three-year period.
Materials and Methods: A retrospective analysis of clinical cases involving evisceration was performed, encompassing a period of 3 years (2022–2025) at the Clinic of Ophthalmology in Pleven. During this period, the surgical intervention was performed in a total of 24 patients.
Results: During the period of the study, inflammatory diseases were the most common indication for performing evisceration. The second most common reason was a painful blind eye due to a secondary glaucoma process, followed by severe eye trauma.
The cosmetic result in all patients was satisfactory, with well-adapted eyelids, good mobility, and no problems in retaining the prosthesis. Subjectively, patients reported relief of the main pain in the first week after placing the prosthesis.
Conclusion: Evisceration is an effective ophthalmic procedure that is applied to incurably diseased, painful, or traumatized eyes. By preserving the sclera and eye muscles, it provides good cosmetic results and better mobility of the ocular prosthesis compared to enucleation.
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